HomeMy WebLinkAbout0100769-Plumbing (bathroom)OSHKOSH
ON THE WATER
.lob Address 217 W IRVING AVE
Contractor KOCH PLUMBING
Bathtub 1 Shower
Whirlpool 0 Floor Drain
Lavatory 1 Lndry Tray
Toilet 1 Lndry Stndp
Res. Sink 0 Disposal
Bar Sink 0 Dishwasher
Water Heater 0 Sump Pump
Site Drain 0 Classrm Sink
Roof Drain 0 Breakrm Sink
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner LEE J TRITT
Category 410 - Residential-Interior
0 Ejector/Grind 0 Dip Well 0 F Prep Sink 0
0 WaterSoftner 0 Drink Ftn 0 ServSink 0
0 Local Waste 0 Wait. St. 0 ShampSink 0
0 CIothesWshr 0 Ice Chest 0 FIr/Wst Sink 0
0 Bidet 0 Exam Sink 0 Catch Basin 0
0 Beer Tap 0 SculrySink 0 Wash Ftn 0
0 Dent. Oper. 0 Hand Sink 0 Urinal 0
0 Lab Sink 0 Plaster Sink 0 Standp Rec 0
0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0
No 100769
Create Date 04/11/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature remodel
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
$3,000.00 Plan Approval $0.00 Permit Fees
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
$20.00
Date 04/11/2003
Permit Voided
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address 2005 DOTY ST OSHKOSH WI 54901 - 0000 Telephone Number
BUTCH (C)379-8753
~ity of Oshkosh
Inspection Services Division
P 0 Box 1130
Oshkosh, %VI 54905~ 1130
Pl~one: (920) 236-SOS0
Fax: (920) 236-EA}84
(')~ 1'1t1' VV^TE~
,plumbing Permit. Application
I hereby apply for a pcm~it to do at,Id ismlall dsc following plumbing on 11~¢ prcmlscs hereinafter dcscrlbcd, dtc work to conform Io dtc
Wisconsin State Plumbing Code, m thc pcrfom~ancc of which all panics hereto agree to aBd arc bound by said staluics.
L-'~Singlc Family E]Duplcx
Contractor ,..~,//
[~Mul(i-Family [~Rental ['-]Commercial
E]lndustrial
Number of Fixtures:
Bathtub _..L~.
I~va(ory
Toilet /,-
Rcs/Sink
Bar Sink .
Wa~ H~~
~d~ Troy
~b Sink
Electric Contractor
Use / Nature of Work
I.ndr~ Slandp Dcn[, Opcr.
DispoSal Dip Well
D/~hw~hcr ...... t)dnk Fin
Sdmp l"ump ....... Wait. St.
Ejector/C. gi~d ~ I.ce Chest
Water Softt~t EXam Sink
Local W~st¢ ~ Scul~ ~ink
Clothes WShr Hand Sink
Bidet F Prep Sink
Beer Tap ~ Serv Sink
Classrm ,~ink ~ lng Cs'case Trap
Sorgcons Sink [~t Grcar, g Trap
Brcakrm Sink
OR
FIdWst Sink
Catch Basin
Wash Fm
U6~al
Gar
Soda
~e Mak~
~f ~m
S~ndp
0 ElY form attached (If Replacement)
Sanitary Sewer
Storm Sewer
Water Service
Size Material Tylx: # Conn. Type
Application(s) and fcc(s) can be brought to City Hall, Room 205 or mailed to Insl~ction Services, PO Box 1128, Oshkosh WI
54903-1128. Commencing work without pta-mit(s) will result in fees being doubled or $100.00 plus the normal permit fee,
which ever is greater.
OR
Check here if you wane t:hi3 processed Cbrou~h your account [~
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